03D2079910 CLIA NUMBER - BACKFIT HEALTH & SPINE

Laboratory Demographics

  • CLIA Code: 03D2079910
  • Facility Name: BACKFIT HEALTH & SPINE
  • Facility Address: 5233 E SOUTHERN AVE, STE 104
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 830-2882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNAIA HOOGEWERF
  • NPI Number: 1124389770
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2079910
LAB Type Physician Office
Facility Name BACKFIT HEALTH & SPINE
Street 5233 E SOUTHERN AVE, STE 104
City MESA
State AZ
ZIP 85206
Phone 480 830-2882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director LYNAIA HOOGEWERF

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This page was last updated on: 9/29/2025